Active NPI
Mohamed A Elhag, MD
- Surgery Physician
- Farmington, ME
National Provider Identifier
1932135829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 014601
- Practice address
- 111 Franklin Health Commons
Farmington, ME 04938 - Phone
- (207) 779-0567
- Fax
- (207) 778-6031
- NPI assigned
- Jun 23, 2006
- Last updated
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 014601 | ME | Primary |
Addresses
Primary practice location
111 Franklin Health Commons
Farmington, ME 04938
Mailing address
111 Franklin Health Commons
Farmington, ME 04938
Phone (207) 779-0567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014601 | ME | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1932135829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH COMMONS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "04938",
"telephone_number": "207-779-0567",
"fax_number": "207-778-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH COMMONS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "04938",
"telephone_number": "207-779-0567",
"fax_number": "207-778-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHAG",
"first_name": "MOHAMED",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "014601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.